Long Standing Intercostal Drainage a Boon or a Curse: Our Experience

Abstract

Seroma, wound infection, skin flap necrosis, nipple necrosis (after nipple-areolar sparing mastectomy [NSM]), are all complications of mastectomy. ICDs (intercostal chest drains) are frequently employed in medical, surgical, and critical care settings. Incorrect placement or management of intercostal chest drains can lead to significant morbidity and even mortality. The risk of acquired infection is directly proportional to the duration of ICD placement in-situ. For patients with sepsis and septic shock, therapeutic priorities include securing the airway (endotracheal intubation and mechanical ventilation), correcting hypoxemia, and establishing vascular access for the early administration of fluids and antibiotics. Hence, ICD tubes that are kept in-situ for a long duration must be managed according to the approved guidelines by qualified personnel and under adequate supervision.